JACQUELINE LANE

JACKSONVILLE, FL
NPI1588004543
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-07-04
Last Update Date2013-07-04
Business Address
-- JACQUELINE LANE Bachelor Level
435 CLARK RD STE 408-5
JACKSONVILLE, FL 32218-8505
Phone number: 904-765-0665
Mailing Address
-- JACQUELINE LANE Bachelor Level
2638 DELLWOOD AVE
JACKSONVILLE, FL 32204-3528
Phone number: 904-765-0665
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